Learner and Teacher Entrustability Concordance in Endocrine Surgery Entrustable Professional Activities
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View abstract on PubMed
Summary
This summary is machine-generated.Learner and teacher ratings for endocrine surgery Entrustable Professional Activities (EPAs) show strong agreement, especially for operative skills. However, learners tend to underestimate their performance in pre- and post-operative phases.
Area Of Science
- Surgical Education
- Medical Assessment
- Endocrine Surgery Training
Background
- The American Association of Endocrine Surgeons (AAES) developed Entrustable Professional Activities (EPAs) for Endocrine Surgery (ES) to evaluate resident and fellow competence.
- This study investigates the agreement between learner self-assessments and faculty ratings of these ES EPAs.
Purpose Of The Study
- To assess the concordance between learner and teacher entrustability ratings for Endocrine Surgery EPAs.
- To identify discrepancies in self-assessment versus faculty evaluation within different phases of surgical care.
Main Methods
- Fourteen EPAs were defined, including core and elective activities with single or multi-phase components.
- Ten institutions utilized web-based micro-assessments (MAs) with a five-point scale for observable behaviors.
- Learner self-ratings and separate teacher ratings were compared using Spearman rank correlation.
Main Results
- A total of 698 MAs were collected between July 2022 and September 2023.
- Concordance between learner and teacher ratings varied by EPA phase: 32% (pre-op), 53% (intra-op), 29% (post-op), and 64% (single-phase).
- Overall Spearman correlation was 0.66, with highest correlation in the intra-operative phase (0.73) and lowest in the post-operative phase (0.20). Learners more often underestimated their performance.
Conclusions
- Learner self-assessment and teacher ratings of endocrine surgery EPAs demonstrate strong concordance, particularly for operative technical skills.
- Discrepancies exist, with learners frequently underestimating their performance in pre- and post-operative care compared to faculty evaluations.
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